| NPI | 1558391557 |
|---|---|
| Former Name | LINDA JEAN SHOREY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: PA VP003744G) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2013-12-04 |